Organization Active NPI

Mulliken Counseling Center, Inc.

  • Counselor
  • Edina, MN
National Provider Identifier
1811020258
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MULLIKEN COUNSELING CENTER, INC.
Practice address
5275 Edina Industrial Blvd
#124
Edina, MN 55439-2918
Phone
(952) 835-7130
Fax
(952) 831-1783
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Todd K. Mulliken
Title
President
Phone
(952) 835-7130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

5275 Edina Industrial Blvd
#124
Edina, MN 55439-2918

Mailing address

5275 Edina Industrial Blvd
#124
Edina, MN 55439-2918
Phone (952) 835-7130

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1811020258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD",
            "address_2": "#124",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392918",
            "telephone_number": "952-835-7130",
            "fax_number": "952-831-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD",
            "address_2": "#124",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392918",
            "telephone_number": "952-835-7130",
            "fax_number": "952-831-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLIKEN COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "MULLIKEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-835-7130",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.